Jobsite Safety Survey

• Jobsite

• General Contractor or Construction Management

• Conducted on

  Date

• Prepared by

• General Contractor or Construction Management

• Foreman

Previous Jobsite Safety Survey

• Was previous survey reviewed?

  Yes

  No

  1st Visit

• Are there any outstanding items?

  Yes

  No

  Other

Personal Protective Equipment

• High-Visibility Vest/Other

  Yes

  No

  N/A

  At Risk

• Gloves

  Yes

  No

  N/A

  At Risk

• Hard Hat<br>

  Yes

  No

  N/A

  At Risk

• Safety Glasses

  Yes

  No

  N/A

  At Risk

• Daily stretching

  Yes

  At Risk

Material Handling & Ergonomics

• Proper material storage, handling ect...

  Yes

  No

  N/A

• Tools, Hilti, core drill, bender, ect...

  Yes

  No

  N/A

Electrical

Overview of Our Electrical

• Proper Support for Cables

  Yes

  No

  N/A

  At Risk

• Enclosures Entact/Doors closed

  Yes

  No

  N/A

  At Risk

• GFCI Inspections Current

  Out dated

  Currect

• Weather Protection

  Yes

  No

  N/A

  At Risk

• Spool Handling, tuggers, puller condition

  Safe

  Repair

  At Risk

  N/A

• LOTO & Electrical Safe Work Practices

  Safe

  Repair

  At Risk

  N/A

• Cord & Cable Condition/ Open Splicing

  Safe

  Repair

  At Risk

  N/A

• Temporary Lighting

  Safe

  Repair

  At Risk

  N/A

Walking & Working Surfaces

• Mud, Water-Snow-Ice Removal

  Safe

  Repair

  At Risk

  N/A

• Housekeeping

  Safe

  At Risk

  N/A

• Floor Openings I.e covers, secured and marked

  Safe

  Repair

  At Risk

  N/A

Ladders

• Extension Ladders

  Yes

  No

  N/A

  At Risk

• Stepladders

  Yes

  No

  N/A

  At Risk

Fall Protection

• No

• Yes, Multi Level or Roof Work Taking Place
6' Or More Fall exposure Assessment

• Add media

  Media

• Guardrails/Toeboards

  Safe

  Repair

  At Risk

  N/A

• Roof Flagging

  Safe

  Repair

  At Risk

  N/A

• Personal Fall Arrest Equipment Condition/Proper Use

  Safe

  Repair

  At Risk

  N/A

• Loading area enclosed correctly.

  Yes

  No

  N/A

Fire Protection

• Emergency Plan In Place

  Yes

  At Risk

• Fire Extinguishers

  Yes

  No

  N/A

  At Risk

• Live Sprinklers?

  Live

  No

Employee Health

• No

• Yes
Site Conditions

• Add media

  Media

• Dust Control/Dust Masks

  Safe

  Repair

  At Risk

  N/A

• Proper Clean Up of Slurry

  Yes

  No

  N/A

  At Risk

• Sanitation

  Yes

  No

  N/A

  At Risk

• Air Condition I.e C.O, welding

  Safe

  At Risk

  N/A

• PACM Survey & Procedures

  Yes

  No

  N/A

  At Risk

Aerial Lifts and/or a Scaffolding

• No

• Annual inspection (lifts only).

  Out dated

  Currect

• Chains/gates closed

  Yes

  No

  N/A

  At Risk

• Weather rated, clean, other

  Yes

  No

  N/A

• Scaffolding In Use check if yes.
Set Up

• Access

  Yes

  No

  N/A

  At Risk

• Proper footing, level, feet, screw jacks ect...

  Safe

  Repair

  At Risk

  N/A

• Guardrails and decking complete on working level

  Safe

  Repair

  At Risk

  N/A

• Diagonal brace on rolling scaffold

  Yes

  No

  N/A

  At Risk

• Inspected

  Yes

  No

  N/A

  At Risk

Excavations

• No

• Yes
Overview of Trench or Excavation

• Add media

  Media

• Proper Slope, Spoil pile back 2', Shore, fracturing, water accumulation, ect...

  Safe

  Repair

  At Risk

  N/A

• Egress within 25 Feet, ladder usage.

  Yes

  No

  N/A

  At Risk

• Air Concerns

  Yes

  No

  Other

Cranes & Rigging

• No-Hunt not in control.

• Yes-Hunt is in control.
Process overview

• Add media

  Media

• Loads Properly Controlled

  Yes

  No

  N/A

  At Risk

• Rigging condition

  Yes

  No

  N/A

  At Risk

• Pick plan reviewed by Hunt.

  Yes

  At Risk

Employee Safety Contacts

• Name & Comments:

  Positive Feedback

  Coaching

  Employee Safety Violation

• Name & Comments:

  Positive Feedback

  Coaching

  Employee Safety Violation

• Other

  Safe

  Repair

  At Risk

  N/A

• ECSI on site today?

  No

  Yes

  No involvement